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General NPI Number Information
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NPI Number | 1134160583
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Entity Type | Organization
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Legal Business Name | BARBARA C. PHILLIPS, ARNP, LLC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 1015 4TH AVE W SUITE AB
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City | OLYMPIA
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State | WA
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Zip | 98502-5467
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Country | US
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Telephone | 360-915-7794
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Fax | 360-915-7936
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Provider Business Mailing Address
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Address Line | 1015 4TH AVE W SUITE AB
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City | OLYMPIA
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State | WA
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Zip | 98502-5467
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Country | US
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Telephone | 360-915-7794
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Fax | 360-915-7936
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | BARBARA C. PHILLIPS
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Credential | NP
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Telephone | 360-915-7794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP3002105
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3002105
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License Number State | WA
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